Suchergebnisse

"U.S. health care is a $2.5 trillion system that accounts for more than 17 percent of the nation's GDP. It is also highly susceptible to fraud. Estimates vary, but some observers believe that as much as 10 percent of all medical billing involves some type of fraud. In 2009, New York's Medicaid fraud office recovered $283 million and obtained 148 criminal convictions. In July 2010, the U.S. Justice Department charged nearly 100 patients, doctors, and health care executives in five states of bilking the Medicare system out of more than $251 million through false claims for services that were medically unnecessary or never provided. These cases only hint at the scope of the problem. In Phantom Billing, Fake Prescriptions, and the High Cost of Medicine, Terry L. Leap takes on medical fraud and its economic, psychological, and social costs. Illustrated throughout with dozens of specific and often fascinating cases, this book covers a wide variety of crimes: kickbacks, illicit referrals, overcharging and double billing, upcoding, unbundling, rent-a-patient and pill-mill schemes, insurance scams, short-pilling, off-label marketing of pharmaceuticals, and rebate fraud, as well as criminal acts that enable this fraud (mail and wire fraud, conspiracy, and money laundering). After assessing the effectiveness of the federal laws designed to fight health care fraud and abuse-the antikickback statute, the Stark Law, the False Claims Act, HIPAA, and the food and drug laws-Leap suggests a number of ways that health care providers, consumers, insurers, and federal and state officials can bring health care fraud and abuse under control, thereby reducing the overall cost of medical care in America"--Jacket

"U.S. health care is a $2.5 trillion system that accounts for more than 17 percent of the nation's GDP. It is also highly susceptible to fraud. Estimates vary, but some observers believe that as much as 10 percent of all medical billing involves some type of fraud. In 2009, New York's Medicaid fraud office recovered $283 million and obtained 148 criminal convictions. In July 2010, the U.S. Justice Department charged nearly 100 patients, doctors, and health care executives in five states of bilking the Medicare system out of more than $251 million through false claims for services that were medically unnecessary or never provided. These cases only hint at the scope of the problem. In Phantom Billing, Fake Prescriptions, and the High Cost of Medicine, Terry L. Leap takes on medical fraud and its economic, psychological, and social costs. Illustrated throughout with dozens of specific and often fascinating cases, this book covers a wide variety of crimes: kickbacks, illicit referrals, overcharging and double billing, upcoding, unbundling, rent-a-patient and pill-mill schemes, insurance scams, short-pilling, off-label marketing of pharmaceuticals, and rebate fraud, as well as criminal acts that enable this fraud (mail and wire fraud, conspiracy, and money laundering). After assessing the effectiveness of the federal laws designed to fight health care fraud and abuse-the antikickback statute, the Stark Law, the False Claims Act, HIPAA, and the food and drug laws-Leap suggests a number of ways that health care providers, consumers, insurers, and federal and state officials can bring health care fraud and abuse under control, thereby reducing the overall cost of medical care in America"--Jacket

What influences organizational crime and corruption? -- The many facets of white-collar crime -- How white-collar criminals assess risks and rationalize their acts -- The elusive impact of white-collar crime -- Responses to white-collar crime

Human resources/personnel management, a subdiscipline of business administration, is examined as a metadiscipline. Support for the metadisciplinary treatment is found in an evolutionary analysis of the field, drawing from system precursors theory. Extensions of this viewpoint are made and indications of likely future developments in the HR/PM area are discussed. An analysis of the advantages of the treatment of academic sub-disciplines as metadisciplines over traditional "phase-oriented" approach is presented and directions for future research are suggested.

This paper presents a classification scheme to be used as a starting point for comparing and integrating the multitude of bargaining models that have been developed. Additionally, in tabularform the strengths, limitation, and selected examples for each model type are presented. Unlike most taxon-omies, the categories are presented in pictorial form. This unique mode of presentation helps the reader more easily undserstand the given classifica-tion scheme as well as point to areas for possible future research and integration.

Humor is seen as a virtuous personality trait that can be used to release tension, convey organizational roles, and alleviate boredom. What may be perceived as a humorous joke to one person, however, could be considered inappropriate or offensive to another. Thus, joking may impact on civil and human rights litigation and on the quality of work life. To further understand perceptions of humor and joking, 165 subjects were asked to evaluate the appropriateness of three types of jokes in work settings. Whites and females considered racist and sexist jokes more inappropriate than blacks and males. Inexperienced employees considered all joking behavior at work to be less appropriate than experienced employees.

openAccessArticle: False ; Page Range: 307-307 ; doi:10.1016/j.bushor.2012.01.008 ; Harvest Date: 2016-01-12 15:12:55 ; issueName: SPECIAL ISSUE: STRATEGIC MARKETING IN A CHANGING WORLD ; cover date: 2012-05-01 ; pubType: Organizational Performance